Warrant to imprison
Form 22 Warrant to imprison
Rule 44
Warrant to Imprison
(Except for unpaid fine(s))
(Section 68(a) and (c) of the Magistrates' Court Act 1989)
WARRANT TO IMPRISON Court Ref.:
(Except for unpaid fine)
Offender's name: Gender:
Address: Date of birth:
Where proceeding heard the Magistrates' Court at [venue]
Who filed the charges? Agency (informant)
Imprisonment order summary:
Date sentence imposed:
Effective total term Years Months Days
Minimum term before becoming eligible for parole: Years Months
Time spent in custody: Years Months Days
taken into account 🞏 Yes 🞏 No
Sentences imposed in this case to be:
cumulative upon other sentences presently being served 🞏 Yes 🞏 No
part cumulative with other sentences presently being served 🞏 Yes 🞏 No
Cumulative portion of sentence: Years Months Days
cumulative on any period owed to the Parole Board 🞏 Yes 🞏 No
part cumulative with any period owed to the Parole
Board 🞏 Yes 🞏 No
Cumulative portion of sentence: Years Months Days
Authority and directions
To all police officers, all prison officers or [insert other]
You are authorised to break, enter and search any place where the person named in this warrant is suspected to be and to take and safely convey the person named in this warrant to—
🞏 a prison or police gaol 🞏 a youth justice custodial centre
and to deliver the person to the officer in charge of the prison, police gaol or youth justice custodial centre.
To the Commissioner of Corrections Victoria or the Chief Commissioner of Police (as the case requires) or any other person into whose custody the person named in this warrant is transferred:
You are directed and authorised to receive that person into custody and safely keep that person for the period specified, or in the circumstances described in this warrant or until that person is otherwise removed or discharged from custody by due course of law.
Issued by Registrar Date
[Signature] Magistrate
Schedule to warrant to imprison
Court Ref.:
Offender Page No.
Codes
S Offence is against State law
C Offence is against Commonwealth law
G Plea of guilty
NG Plea of not guilty
XP Ex parte hearing, accused did not appear in court
AGG Sentence imposed on this charge is an aggregate sentence under section 4K(4) of the Crimes Act 1914 of the Commonwealth and the aggregate term to be served in relation to all AGG sentences in this case is the period in the "Imprisonment" column beside the first AGG sentence
BAS The base sentence for the purposes of cumulative and part concurrent sentences in this case
CUM A sentence to be served cumulatively upon the base sentence and upon all other cumulative and part concurrent sentences in this case
DFR Court directed release under section 20(1)(b) of the Crimes Act 1914 of the Commonwealth after service of the period shown in the column "Portion of term to be served"
PCO Sentence to be served part concurrently with other sentences in this case. The non-current balance of the sentence shown in the column "Portion of term to be served"
Schedule to Warrant to Imprison
Case No.
Accused Page No.
Code Table
Charge Number | Date of offence | S | G NG XP | Brief description of offence | Act and Section | Imprisonment (detention) term | Portion of term to be served (where app.) | Sentence (period) code | Min. Term C'wlth only |
There are more pages No Yes — pages Registrar |
Warrant execution details
Police Station Warrant executed by me on at a.m./p.m.
Name, Rank and Number
Form 23 amended by S.R. No. 143/2026 rule 10.
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